| NPI | 1285007021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH COA.18333-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH 18333) |
| Enumeration Date | 2015-11-02 |
| Last Update Date | 2019-12-20 |